| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
18,474 |
15,310 |
$2.83M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
420 |
380 |
$66K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
302 |
300 |
$45K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
812 |
758 |
$19K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
789 |
730 |
$17K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
29 |
27 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
26 |
25 |
$3K |
| 90834 |
Psychotherapy, 45 minutes with patient |
17 |
13 |
$3.27 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
521 |
337 |
$0.00 |
| 90670 |
|
254 |
249 |
$0.00 |
| 83655 |
|
15 |
15 |
$0.00 |
| 90648 |
|
39 |
38 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
152 |
71 |
$0.00 |
| 90461 |
|
151 |
52 |
$0.00 |
| 90633 |
|
27 |
26 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
759 |
747 |
$0.00 |
| 90686 |
|
55 |
55 |
$0.00 |
| 90680 |
|
49 |
48 |
$0.00 |
| 90677 |
|
25 |
25 |
$0.00 |
| 92551 |
|
140 |
137 |
$0.00 |
| 85027 |
|
15 |
15 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
13 |
13 |
$0.00 |